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1164586426
HAROLD LEE VANDERVELDE
CHAMPAIGN, IL
NPI
1164586426
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 149009032)
Enumeration Date
2006-12-21
Last Update Date
2007-07-08
Business Address
Mr. HAROLD LEE VANDERVELDE MSW, LCSW
202 W PARK AVE
CHAMPAIGN, IL 61820-3929
Phone number: 217-373-2430
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Mailing Address
Mr. HAROLD LEE VANDERVELDE MSW, LCSW
202 W PARK AVE
CHAMPAIGN, IL 61820-3929
Phone number: 217-373-2430
Copy
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